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General NPI Number Information
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NPI Number | 1295879286
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Entity Type | Organization
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Legal Business Name | CLEAR SOLUTIONS HEARING CENTER
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1521 W GRANADA BLVD
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5920
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Country | US
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Telephone | 386-672-9420
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Fax | 386-672-9993
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Provider Business Mailing Address
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Address Line | 1521 W GRANADA BLVD
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5920
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Country | US
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Telephone | 386-672-9420
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Fax | 386-672-9993
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MR. FRANK JACK FAVARO
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Credential | M.A., CCC-A
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Telephone | 386-672-9420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 216
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License Number State | FL
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